Provider Demographics
NPI:1730446949
Name:PAHRUMP VALLEY COUNSELING LLC
Entity type:Organization
Organization Name:PAHRUMP VALLEY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:RAMONA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LMFT
Authorized Official - Phone:775-751-8980
Mailing Address - Street 1:3370 S HIGHWAY 160
Mailing Address - Street 2:STE. 12
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89048-5375
Mailing Address - Country:US
Mailing Address - Phone:775-751-8980
Mailing Address - Fax:775-751-8650
Practice Address - Street 1:3370 S HIGHWAY 160
Practice Address - Street 2:STE. 12
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89048-5375
Practice Address - Country:US
Practice Address - Phone:775-751-8980
Practice Address - Fax:775-751-8650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-12
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV00145-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty